Mina Compounding Pharmacy #4

LBN: Mina Corporation
Mina Compounding Pharmacy #4 is an health care organization with primary practice located at 1620 N School St , Honolulu HI 96817-1844. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Mina Corporation can be contacted via phone (808) 672-6760, or through Etinas, Adel via phone (808) 222-9252.

Contact Information

Primary practice address
1620 N School St Honolulu HI 96817-1844
Phone: (808) 672-6760
Fax: (808) 356-3392
Website:
Map and Directions
Authorized official contact:
Name: Etinas, Adel
Phone: (808) 222-9252

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X PHY-888 Hawaii

Profile Details

NPI number 1114301082
LBN Legal business name Mina Corporation
DBA Doing business as Mina Compounding Pharmacy #4
Authorized official Etinas, Adel
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2015
Last updated Jul 10th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114301082 NPPES
Other 2152881 PK

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